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General NPI Number Information
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NPI Number | 1134136161
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Entity Type | Organization
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Legal Business Name | KAUFFMAN & CAMPAGNA PLLC
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3722 N LOOP 250 W
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City | MIDLAND
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State | TX
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Zip | 79707
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Country | US
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Telephone | 432-694-1659
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Fax | 432-520-0720
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Provider Business Mailing Address
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Address Line | PO BOX 8307
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City | MIDLAND
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State | TX
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Zip | 79708-8307
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Country | US
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Telephone | 432-694-1659
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Fax | 432-520-0720
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Authorized Official
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Title or Position | DENTIST
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Name | DR. THOMAS BAXTER CAMPAGNA
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Credential | DMD
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Telephone | 432-694-1659
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | TX
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